A Nurse-Led Telehealth Program for Diabetes Foot Care: Feasibility and Usability Study.
Hsiao-Hui Ju, Rashmi Momin, Stanley Cron and 3 others
PMID 37279046WHAT IT FOUND
A nurse-led telehealth program for diabetes foot care was feasible and well-liked by patients.
After three video sessions, participants reported significantly better knowledge and more frequent foot self-care behaviors, though the study did not measure actual health outcomes.
Key findings
0174% of enrolled participants completed the three-month program, and the Telehealth Usability Questionnaire score was 6.24 out of 7.
02Participants reported significant improvements in diabetes knowledge and self-care behaviors, including foot care and blood glucose testing.
03The program was delivered via Zoom by a family nurse practitioner and focused on preventive foot care education.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had no control group, so improvements cannot be attributed solely to the telehealth intervention. Participants were excluded if they already had foot ulcers or amputations, so results do not apply to high-risk patients. The sample was recruited from two clinics in Texas, limiting generalizability. Outcomes were self-reported and measured only over three months, with no data on long-term sustainability or clinical endpoints like ulcer prevention. Rural participants experienced connectivity issues, suggesting the program may not be equally feasible for all populations.
Declared interests
None declared.
The easy way to misread this
Do not interpret the improved self-reported behaviors as evidence that this program prevents foot ulcers or amputations. The study measured patient perceptions and habits over three months, not clinical outcomes, and lacked a control group to rule out other factors.